ArticlePloS one2026
Behavioral barriers in the management of spinal muscular atrophy: The role of procrastination, regret, and burnout.
Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDecision-making in complex medical conditions is a cognitively demanding task influenced by clinician-specific behavioral factors. Procrastination, the voluntary delay of intended actions despite foreseeable adverse outcomes, is a self-regulation failure often exacerbated by high-stress clinical environments. This study evaluated the prevalence of procrastination among healthcare professionals (HCPs) managing spinal muscular atrophy (SMA) and analyzed its associations with burnout and healthcare-related regret.
methodsWe conducted a non-interventional, cross-sectional, web-based study of HCPs recruited through the Spanish CuidAME registry. Participants were assessed using a battery of validated instruments: the Pure Procrastination Scale (PPS), the Regret Intensity Scale (RIS-10), the Evidence-Based Practice Attitude Scale (EBPAS), and a single-item burnout measure. In addition to multivariate logistic regression, we employed a regression-based mediation analysis with bootstrap resampling to explore potential indirect effects of burnout on procrastination via regret intensity.
resultsThirty-seven HCPs completed the study. Moderate-to-high procrastination was identified in 35.1% of the cohort. PPS scores correlated significantly with burnout (rho = 0.49, p = 0.002) and regret intensity (rho = 0.43, p = 0.007). Multivariate analysis identified burnout as the single independent factor associated with procrastination (OR: 8.17; 95%CI: 1.60-41.62; p = 0.011). Although burnout significantly predicted increased regret intensity, mediation analysis confirmed no significant indirect effect (beta = 0.98; 95%CI: -1.74 to 3.79). Burnout maintained a robust association with procrastination, independent of the mediator (beta = 5.11, p = 0.039).
conclusionsProcrastination is a prevalent behavioral trait in SMA care. While procrastination correlates with healthcare-related regret, burnout serves as its primary independent predictor of this behavior. These exploratory findings suggest that targeted interventions to mitigate clinician burnout may facilitate the optimization of decision-making processes in complex neuromuscular care.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.